NPIMap

Individual provider Active NPI

Michael J Dawson, PA

  • Surgical Physician Assistant
  • Southington, CT
National Provider Identifier
1366596553
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
004101 Issued in CT
Practice address
55 Meriden Ave Ste 3G
Southington, CT 06489-3235
Phone
(860) 827-7690
Fax
(860) 827-7696
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 004101 CT Primary
Surgical Physician Assistant 363AS0400X 008002 NY

Addresses

Primary practice location

55 Meriden Ave Ste 3G
Southington, CT 06489-3235

Mailing address

55 Meriden Ave Ste 3G
Southington, CT 06489-3235
Phone (860) 827-7690

Other practice location 1

201 N Mountain Rd Ste 201
Plainville, CT 06062-1848
Phone (860) 223-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180723002097 CT Practitioner - Physician Assistant 3870513138 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

100 Grand St
New Britain, CT 06052-2016
Phone (860) 224-5121

1244 Storrs Rd
Road
Storrs, CT 06268-2200
Phone (860) 724-2579

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as group
Quality
83.66
Promoting interoperability
100
Improvement activities
40
Cost
66.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
004101CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group, Inc CurrentSince Jun 25, 2018 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Jun 1, 2021 Accepting new patients
Hartford Healthcare Medical Group Specialists, PLLC Surgical CurrentSince Jun 1, 2019 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jun 1, 2019 Accepting new patients
The Hospital of Central Connecticut at New Britain General and Bradley CurrentSince Jun 1, 2021 Accepting new patients
NSPC Plastics Past Accepting new patients

Locations

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

201 N Mountain Rd
Ste 201
Plainville, CT 06062
Phone (860) 223-0800

55 Meriden Ave
Ste 1D
Southington, CT 06489
Phone (860) 276-5144

55 Meriden Ave
Ste 3G
Southington, CT 06489
Phone (860) 223-0800

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

35 Talcottville Rd
Ste 5
Vernon Rockville, CT 06066
Phone (860) 249-8711

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: michael.dawson@xdr.hhchealthdirect.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1366596553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 MERIDEN AVE STE 3G",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064893235",
            "telephone_number": "860-827-7690",
            "fax_number": "860-827-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MERIDEN AVE STE 3G",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064893235",
            "telephone_number": "860-827-7690",
            "fax_number": "860-827-7696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 N Mountain Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Plainville",
            "state": "CT",
            "postal_code": "060621848",
            "country_code": "US",
            "telephone_number": "860-223-0800",
            "fax_number": "860-223-0444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CT",
            "license": "004101",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "008002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

Verify at the official NPI Registry.